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Published in J Pain. 2014 Sep 16. pii: S1526-5900(14)00911-0 Authors: Cajanus K et al Abstract Most clinically used opioids are mu-opioid receptor agonists. Therefore, genetic variation of the OPRM1 gene that encodes the mu-opioid receptor is of great interest for understanding pain management. A polymorphism 118A greater than G (rs1799971) within the OPRM1 gene results […]
Read MorePublished in Langenbecks Arch Surg. 2014 Sep Authors: Heinrich S et al PURPOSE: Perioperative regional anesthesia with consecutive reduction of intra- and postoperative systemic opioid requirements in order to improve oncological result after cancer surgery has only been addressed by a few reports. This hypothesis has never been proved in esophageal cancer with a long-term […]
Read MoreAuthors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’ recommendation for a transfusion hemoglobin target of 7 to 9 […]
Read MoreThe answer: Gossip! Just because there is nothing you can do to completely eliminate it from your workplace doesn’t mean you shouldn’t do a thing about it. On the contrary, managers can and should take steps to eliminate harmful rumors and gossip from circulating in the workplace. Why? At best, it saps morale. At worst, […]
Read MoreHow are you affecting the culture of consistency within your organization? Much has been written about trust and leadership. Leaders can’t expect to have followers if they themselves are not trustworthy. Leaders know this. And they know that they want trustworthy employees. Who wouldn’t want trustworthy employees? And yet, leaders typically fail to be trustworthy […]
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